Nicorelief

Name: Nicorelief

Commonly used brand name(s)

In the U.S.

  • Commit
  • Nicorelief
  • Nicorette

In Canada

  • Equate Mini Nicotine Lozenge - Fast Dissolving - Mint
  • Exact Nicotine Lozenge - Mint
  • Nic-Assist - Mint
  • Quit Nicotine Gum - Mint

Available Dosage Forms:

  • Lozenge/Troche
  • Gum

Therapeutic Class: Smoking Cessation Agent

Pharmacologic Class: Cholinergic

Proper Use of nicotine

This section provides information on the proper use of a number of products that contain nicotine. It may not be specific to Nicorelief. Please read with care.

Use this medicine exactly as directed in the dosing section on the label. Ask your doctor or pharmacist if you have any questions.

This medicine comes with a patient instruction booklet. Read and follow these instructions carefully.

It is also important to use a stop-smoking program that may include education, counseling, and psychological support. This may make it easier for you to stop smoking.

Begin using this medicine on your "quit" day, even if you are not able to stop smoking immediately.

Chewing gum:

  • If you have the urge to smoke, slowly chew one piece of gum until you notice a peppery taste or feel a slight tingling in your mouth.
  • Stop chewing and place (“park”) the gum between your cheek and gum. When the taste or tingling is almost gone, slowly chew the gum again until you taste it.
  • Continue chewing and “parking” the gum for about 30 minutes to get the full dose.
  • Do not chew too fast or chew more than one piece at a time.
  • Do not drink acidic beverages, such as citrus fruit juices, coffee, soft drinks, or tea within 15 minutes before or while chewing a piece of gum.
  • As your urge to smoke becomes less frequent, gradually reduce the pieces of gum used. Follow the dosing instructions on the label.

Lozenges:

  • Do not eat or drink for 15 minutes before using a lozenge.
  • If you have the urge to smoke, slowly suck one lozenge until it dissolves.
  • Do not bite or chew the lozenge like hard candy. Do not swallow the lozenge. Try not to swallow most of the dissolved medicine.
  • Do not use more than one lozenge at a time or many lozenges one after another.
  • As your urge to smoke becomes less frequent, gradually reduce the number of lozenges used. Follow the dosing instructions on the label.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • To help you stop smoking:
    • For oral dosage form (gum):
      • Adults and teenagers 18 years or older—The dose will be provided on the label and is based on the number of cigarettes you smoke per day. Do not chew more than one piece (2 milligrams (mg) or 4 mg) at a time. Do not use more than 24 pieces of gum per day. The amount of nicotine is decreased over time when you use fewer pieces. If you need to use the gum for a longer period of time than recommended on the label, talk to your doctor.
      • Children—Use is not recommended.
    • For oral dosage form (lozenge):
      • Adults and teenagers 18 years or older—The dose will be provided on the label and is based on the number of cigarettes you smoke per day. Do not use more than one lozenge (2 milligrams (mg) or 4 mg) at a time. Do not use more than 5 lozenges in 6 hours or more than 20 lozenges per day. The amount of nicotine is decreased over time when you use fewer pieces. If you need to use the lozenges for a longer period of time than recommended on the label, talk to your doctor.
      • Children—Use is not recommended.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Wrap used pieces of gum in paper and throw them away in the trash. If you remove a lozenge before it dissolves, wrap it in paper and throw it away in the trash. Make sure the gum or lozenge is out of the reach of children and pets.

How should I take Nicorelief (nicotine gum, lozenge) gum or lozenges?

This medicine is only part of a complete program of treatment that may also include counseling, group support, and behavior changes. Your success will depend on your participation in all aspects of your smoking cessation program.

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. This medicine comes with patient instructions for safe and effective use. Your dose will depend on how many cigarettes you smoked daily before quitting. Follow the guide in the patient instructions. Ask your doctor or pharmacist if you have any questions.

Do not smoke or use other nicotine products (including snuff, chewing tobacco, nicotine patches, inhaler, or nasal spray). Using many forms of nicotine together can be dangerous.

To use nicotine gum:

  • Chew the gum slowly and stop chewing when your mouth starts to tingle. "Park" the gum between your cheek and gum and leave it there until the tingly feeling is gone. Then slowly chew a few more times until the tingling returns. Park the gum again in a different place in your mouth.

  • Remove a piece of gum after 30 minutes, or when chewing no longer causes the tingly feeling.

  • If you have very strong or frequent cravings, you may chew a new piece of gum within 60 minutes.

  • Avoid chewing one piece of gum right after the other, or you may have side effects such as hiccups, heartburn, or nausea.

  • For best results, use at least 9 pieces of gum per day for the first 6 weeks of treatment. Do not use more than 24 pieces of gum per day.

To use nicotine lozenges:

  • Place the lozenge in your mouth and allow it to dissolve slowly over 20 to 30 minutes, without chewing or swallowing.

  • Move the lozenge from one side of your mouth to the other until it has completely dissolved.

  • You may notice a warm or tingly feeling in your mouth.

  • For best results, use at least 9 lozenges per day for the first 6 weeks of treatment. Do not use more than 5 lozenges in 6 hours (20 lozenges per day).

After removing the gum or lozenge, wrap it in paper and throw it away in a place where children and pets cannot reach it.

Do not use this medicine for longer than 12 weeks without the advice of your doctor.

Do not use more than one lozenge or piece of gum at a time. Do not use the gum and lozenges together at the same time.

Store at room temperature away from moisture, heat, and light.

Keep both used and unused gum and lozenges out of the reach of children or pets.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. The amount of nicotine in a used or unused lozenge or piece of gum can be fatal to a child who accidentally sucks or chews on it. Seek emergency medical attention if this happens.

Overdose symptoms may include severe dizziness, nausea, vomiting, diarrhea, weakness, and fast heart rate.

What should I avoid while using Nicorelief (nicotine gum, lozenge) gum or lozenges?

Do not eat or drink anything within 15 minutes before using the gum or lozenge or while the medicine is in your mouth.

Nicorelief (nicotine gum, lozenge) gum or lozenges side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using this medicine and call your doctor at once if you have:

  • fast or pounding heartbeats, fluttering in your chest;

  • blisters inside your mouth;

  • problems with your teeth or jaw; or

  • wheezing, tightness in your chest, trouble breathing.

Common side effects may include:

  • mild dizziness;

  • dry mouth, upset stomach, burping, or hiccups;

  • mouth or throat soreness;

  • changes in taste; or

  • headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

For the Consumer

Applies to nicotine: gum, lozenge/troche

Other dosage forms:

  • inhalation aerosol liquid, inhalation aerosol powder, inhalation device
  • nasal spray
  • transdermal patch extended release

Along with its needed effects, nicotine (the active ingredient contained in Nicorelief) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking nicotine:

Less common
  • Blurred vision
  • dizziness
  • headache
  • nervousness
  • pounding in the ears
Rare
  • Fast or irregular heartbeat
  • hives, itching, rash, redness, or swelling of the skin

Get emergency help immediately if any of the following symptoms of overdose occur while taking nicotine:

Symptoms of overdose
  • Dizziness
  • fast heartbeat
  • nausea or vomiting
  • weakness

Some side effects of nicotine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Mouth sores, blisters, or irritation
  • nausea or vomiting
  • sore throat
Less common
  • Acid or sour stomach
  • belching
  • diarrhea
  • dizziness
  • heartburn
  • hiccups
  • mouth, tooth, jaw, or neck pain
  • problems with teeth
  • unusual tiredness or weakness

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